| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,673 |
2,482 |
$272K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,613 |
2,409 |
$251K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,013 |
1,898 |
$222K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,872 |
4,461 |
$160K |
| A4927 |
Gloves, non-sterile, per 100 |
6,082 |
5,663 |
$143K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,958 |
5,515 |
$142K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
240 |
135 |
$98K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
791 |
742 |
$73K |
| B4100 |
Food thickener, administered orally, per ounce |
467 |
341 |
$36K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
319 |
294 |
$26K |
| K0001 |
Standard wheelchair |
1,699 |
1,037 |
$25K |
| E0570 |
Nebulizer, with compressor |
1,747 |
1,149 |
$25K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
1,135 |
556 |
$15K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,350 |
1,144 |
$15K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
29 |
27 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
27 |
12 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$565.77 |
| A5120 |
Skin barrier, wipes or swabs, each |
180 |
109 |
$428.05 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
93 |
51 |
$426.83 |